Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Robert Graham (NPI 1992954416)

Field	Value
Entity Type	Individual
Organization	Robert Graham
Address	116 N Tuscola Rd
City	Bay City
State	MI
ZIP	48708
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 9, 2008

Payer Source	Total Paid
Medicare	$358.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	230	$690	$158.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	750	$80	$60.3K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	180	$310	$53.4K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	210	$80	$17.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	270	$60	$16K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	490	$30	$13.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	30	$230	$7.2K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	150	$40	$6.1K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	80	$80	$6K
J3590	Unclassified biologics	90	$70	$5.9K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Robert Graham — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	92	110	680	$690	$630.2K
66984	105	480	70	$470	$69.5K
67028	111	160	440	$90	$57.6K
J3590	46	80	140	$80	$19.6K
92014	589	1,080	100	$80	$14.8K
66821	199	310	40	$230	$13.4K
99214	305	15,470	80	$80	$11.4K
92134	109	820	60	$30	$7.1K
92012	367	460	50	$60	$6.8K
99213	1,533	14,810	60	$60	$6.6K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Robert Graham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Burk	MI	Ophthalmology Physician	$237.4K	$0

Nearby Providers

Other providers in the same ZIP code as Robert Graham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bay-arenac Behavioral Health	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$78.6M
Mclaren Bay Region	MI	General Acute Care Hospital	$0	$31.8M
Premier Care Assisted Living	MI	Foster Care Agency	$0	$13.4M
Liberty Living Inc	MI	Adult Care Home Facility	$0	$10.9M
Mclaren Bay Region	MI	Family Medicine Physician	$0	$9.3M
Recovery Pathways, LLC	MI	Medical Specialty Clinic/Center	$0	$8.1M
In Your Golden Years, LLC	MI	Home Health Agency	$0	$7.7M
Paramount Rehabilitation Services, PC	MI	Physical Therapist	$0	$5.5M
Japhet Joseph	MI	Cardiovascular Disease Physician	$414.3K	$16.3K
Richard Horbal	MI	Allergy & Immunology Physician	$424.8K	$0

Robert Graham — Billing Profile & Reimbursement Data

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Robert Graham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References